Provider Demographics
NPI:1134977457
Name:CALABRESE, JOY
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JONATHAN
Other - Middle Name:PAUL
Other - Last Name:CALABRESE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:33 BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-1503
Mailing Address - Country:US
Mailing Address - Phone:269-447-9021
Mailing Address - Fax:
Practice Address - Street 1:33 BLUFF ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-1503
Practice Address - Country:US
Practice Address - Phone:269-447-9021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician